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  • Title: The results of decompression and instrumented fusion with pedicular screw plate system in degenerative lumbar scoliosis patients with spinal stenosis: a prospective observational study.
    Author: Keorochana G, Tawonsawatruk T, Laohachareonsombat W, Wajanavisit W, Jaovisidha S.
    Journal: J Med Assoc Thai; 2010 Apr; 93(4):457-61. PubMed ID: 20462089.
    Abstract:
    OBJECTIVE: To study pain relief curve correction, and functional outcomes after decompression and instrumented arthrodesis in degenerative lumbar scoliosis patients with spinal stenosis. MATERIAL AND METHOD: Thirty-one degenerative scoliosis patients with symptom of spinal stenosis who underwent decompression and fusion with pedicular screw plate instrumentation and completed at least 2-year follow-up were included in this study Functional outcomes were obtained using Oswestry Disability Index (ODI) and Roland Morris score. The VAS pain relief walking ability and curve correction were collected as a result of the surgery. RESULTS: Average age of the patients at the time of surgery was 64.87years (range, 50-87years) and mean follow-up was 32 months (range, 24-60 months). There was significant improvement in all outcome parameters including pain scales, walking ability, ODI, and Roland Morris score (p < 0.05) Five patients had major complications with two cases requiring re-operation. CONCLUSION: Degenerative scoliosis with spinal stenosis is a complex spinal disease that requires decompression and stabilization procedures. Wide decompressive laminectomy and instrumented arthrodesis with pedicular screw plate system provided satisfied outcome included pain relief and functional restoration.
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